Paediatric Uveitis

Active Ingredient: Adalimumab

Indication for Adalimumab

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old)

Adalimumab is indicated for the treatment of paediatric chronic non-infectious anterior uveitis in patients from 2 years of age who have had an inadequate response to or are intolerant to conventional therapy, or in whom conventional therapy is inappropriate.

For this indication, competent medicine agencies globally authorize below treatments:

20-40 mg every other week in combination with methotrexate

Route of admnistration

Subcutaneous

Defined daily dose

20 - 40 mg

Dosage regimen

From 20 To 40 mg once every 14 day(s)

Loading dose

40 mg

Detailed description

The recommended dose of adalimumab for paediatric patients with uveitis from 2 years of age is based on body weight (Table). adalimumab is administered via subcutaneous injection. In paediatric uveitis, there is no experience in the treatment with adalimumab without concomitant treatment with methotrexate.

Adalimumab Dose for Paediatric Patients with Uveitis:

Patient WeightDosing Regimen
<30 kg20 mg every other week in combination with methotrexate
≥30 kg40 mg every other week in combination with methotrexate

When adalimumab therapy is initiated, a loading dose of 40 mg for patients <30 kg or 80 mg for patients ≥30 kg may be administered one week prior to the start of maintenance therapy. No clinical data are available on the use of a adalimumab loading dose in children <6 years of age.

There is no relevant use of adalimumab in children aged less than 2 years in this indication.

It is recommended that the benefit and risk of continued long-term treatment should be evaluated on a yearly basis.

Adalimumab may be available in other strengths and/or presentations depending on the individual treatment needs.

Active ingredient

Adalimumab

Adalimumab binds specifically to TNF and neutralizes the biological function of TNF by blocking its interaction with the p55 and p75 cell surface TNF receptors. Adalimumab also modulates biological responses that are induced or regulated by TNF, including changes in the levels of adhesion molecules responsible for leukocyte migration (ELAM-1, VCAM-1, and ICAM-1 with an IC50 of 0.1-0.2 nM).

Read more about Adalimumab

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